2Kütahya Park Hayat Hospital, Urology, Kütahya, Türkiye DOI : 10.29400/tjgeri.2025.447 Introduction: Benign prostatic hyperplasia is a common condition in elderly men and can significantly impair quality of life. Open prostatectomy remains a valuable surgical option for patients with large prostate volumes, particularly in centers where minimally invasive techniques are not available. However, there is limited data regarding the influence of patient age on surgical outcomes. This study aimed to evaluate the effect of age on International Prostate Symptom Score and quality of life outcomes following open prostatectomy.
Materials and Method: This retrospective study included 53 patients who underwent open prostatectomy for benign prostatic hyperplasia with large prostate volumes between 2015 and 2020. Patients were divided into two groups based on age: younger than 70 years and 70 years or older. Preoperative and postoperative International Prostate Symptom Score and quality of life scores were compared between the groups.
Results: The mean age of the patients was 70.4 years. Both younger and older patients achieved marked improvements in postoperative International Prostate Symptom Score and quality of life scores. Although elderly patients exhibited slightly higher postoperative scores, the magnitude of improvement was comparable across groups. Complication rates were low and did not differ significantly between age groups, demonstrating that advanced age does not compromise surgical safety or effectiveness.
Conclusion: Open prostatectomy provides substantial and consistent symptomatic and quality of life benefits for patients with large-volume benign prostatic hyperplasia, independent of age. These findings affirm that open prostatectomy remains a highly reliable treatment option for elderly patients, offering effective and safe outcomes comparable to those observed in younger individuals.
Keywords : Prostatic Hyperplasia; Prostatectomy; Quality of Life; Aging